Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 14351 TLG | CA |
NPI | 1003180613 |
---|---|
Provider Name | Dr. Lernik Torossian |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90089-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2012 |
Last Update Date | 25/09/2020 |